MEDICARE: DARCEY DICOSTANZO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	097221-01	NY

General Provider Information

NPI Number	:	1497399828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARCEY DICOSTANZO LCSW

Provider Business Mailing Address
First Line	:	2433 KNAPP ST STE 3062433
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1005
Country	:	US
Telephone Number	:	800-275-3243
Fax Number	:

Provider Business Practice Location Address
First Line	:	2433 KNAPP ST STE 3062433
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1005
Country	:	US
Telephone Number	:	914-907-8671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2019
Last Update Date	:	04/14/2025

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